This is a fundamental resource for physicians, technologists, and other health professionals who need to acquire state-of-the-art skills in neurophysiologic intraoperative monitoring (NIOM). It covers basic aspects of monitoring, describes the clinical and technical requirements for monitoring specific types of surgeries, and addresses the administrative aspects of running an NIOM service. This second edition has been updated to incorporate the vast amount of new information and techniques that have evolved since the publication of the first edition. This includes new chapters on each of the modalities used in monitoring (SEP, MEP, BAEP, EEG, and EMG), training curriculum for neurophysiologists and technologists, policies and procedures for NIOM labs, and accreditation and certification. Updated information on new applications of clinical methods includes new chapters on Dorsal Root Entry Zone Procedures and Movement Disorders Surgery.

I. Basic Principles
1. Introduction to the operating room
2. Somatosensory Evoked Potentials
3. Motor Evoked Potentials
4. Brainstem Auditory Evoked Potentials
5. Electroencephalography
6. Electromyography
7. Anesthetic considerations
II. Clinical Methods
8. Vertebral column surgery
9. Spinal cord surgery
10. Lumbosacral surgery
11. Tethered cord surgery
12. Selective dorsal rhizotomy
13. Peripheral nerve surgery
14. Cerebellopontine angle surgery - microvascular decompression
15. Cerebellopontine angle surgery - CPA tumors
16. Brainstem surgery
17. Aortic surgery
18. Carotid and intracranial vascular surgery
19. Epilepsy surgery and brain mapping
20. Movement disorders surgery
III. Administrative Issues
21. Technical guide to NIOM machines
22. Training curriculum for NIOM
23. Remote monitoring
24. Billing, ethical, legal issues
25. Starting and maintaining a NIOM service
26. Policies and procedures for an NIOM laboratory